HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN R
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eview, Hesi Peds, PN HESI Peds, Peds & Maternity HESI, HESI Mat
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ernity/Pediatric Remediation
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Afterdrepeatingdthedvitaldsignsdfordadnewborndwhodisd4dhoursdold,dthedpracticaldnursed(PN)dobtainsdandaxill
arydtemperaturedofd97.2dFdanddplacesdthednewborndunderdadradiantdheatdwarmer.dWhichdadditionaldfindi
ngdshoulddthedPNdobservedindthednewborn?d-dTremorsdofdthedhandsdduringdcrying.
Whichdinformationdshoulddthedpracticaldnursed(PN)dprovidedthedparentsdaboutdthedpurposedofdinstillingder
ythromycind(llotycin)dophthalmicdointmentdindthednewborn'sdeyes.d-
dProphylacticdtreatmentdfordgonorrhealdanddchlamydiadinfection.
Whatdisdthedmostdimportantdactiondbydthedpracticaldnursed(PN)dindpreventingdneonataldinfection?d-
dHanddwashing.
adclientdwhodtookdirondsupplementsdduringdpregnancyddeliversdanddinfantdbydcesareandsection.dOndthedse
conddpostpartumdday,dthedclientdreportsdhavingdadconstipateddstooldthatdisdgreenish-
blackdindcolor.dWhichdactiondshoulddthedpracticaldnursed(PN)dimplement?d-
dRecorddcolordanddconsistencydofdthedstool.
Adclientdisd5dweeksdpregnantdcalldthedclinicdtodreportdthatdherdhomedpregnancydtestdisdpositive.dShedasksd
whatdshedshoulddbedconcerneddaboutdduringdthedweeksdbeforedherdfirstdvisit.dWhichdsignsdanddsymptomsd
shoulddthedpracticaldnursed(PN)dtelldthedclientdtodreportdimmediatelydtodthedhealthcaredprovider?d(selectd
alldthatdapply)d-dA.dVaginaldbleeding
D.dMembranedrupture
E.dSeveredheadaches
Ad3-day-
olddnewborndwhodweighedd7dpounds,d8douncesdatdbirthdisdbreastdfeedingdanddnowdweighsd6dpounddandd1
5dounces.dWhichdactiondshoulddthedpracticaldnursedtake?d-dDocumentdthedweightdloss
,Whichdmedicationdisdprescribeddfordthedpreventiondofdophthalmiadneonatorum?d-dErythromycind(iilotycin)
Admultiparousdclient'sdmembranesdrupturedafterd8dhoursdofdlabor.dwhichdactiondshoulddthedpracticaldnurse
dimplementdatdthisdtime?d-dAssessdthedfetaldheartdrated(FHR)danddpattern.
Thedpracticaldnursed(PN)dpalpatesdfundaldheightdatdthedumbilicusdofdadmultiparousdclientdwhodhasdjustdgiv
endbirthdtodand8-
pounddboydwhenddarkdreddblooddcomesdfromdthedclient'sdvagina.dWhatdactiondisdmostdimportantdfordthed
PNdtodimplement?d-dContinuedtodmassagedthedfundusduntildfirm.
Whichdclientdshoulddthedpracticaldnursed(PN)dcloselydmonitordfordseveredafterdpains?d-
dAdmultigravidadwhodisdbreastfeeding.
Thedpracticaldnursed(PN)disdassessingdadclientd2dhoursdafterdadvaginalddeliverydofdad7-poundd3-
ouncednewborndandddeterminesdthedclient'sdbladderdisddistended.dWhichdadditionaldfindingdshoulddthedP
Ndreportdtodthedchargednurse?d-dExcessivedbleedingdondthedperinealdpad.
Thedpracticaldnursed(PN)dplacesdadnewborndwhodisd4dhoursdolddwithdandaxillarydtemperaturedofd97.2dFdund
erdthedradiantdheatdwarmer.dWhichdrationaledsupportsdthedPN'sdaction?d-
dThednewborn'sdthindlayerdofdsubcutaneousdfatdprovidesdpoordinsulation.
Whichdstrategydshoulddthedpracticaldnursed(PN)dimplementdtodpreventdadpuerperaldinfectiondfordadclientdd
uringdthedfirstdpostpartumdweek?d-dImplementdstrictdmedicaldanddasepticdtechnique.
Whichdclientdisdadcandidatedfordthedadministrationdofdhumandimmunedglobulind(RhoGam)dafterddelivery?d-
dThedRh-negativedmotherdwhoddeliversdadRh-positivedbaby.
Whichdphysiologicaldcause(s)dfordconstipationdduringdpregnancydshoulddthedpracticaldnursed(PN)dexplaindt
odadclientdindthedfirstdtrimester?d(Selectdalldthatdapply.)d-dA.dDisplacementdofdthedcolon.
E.dDecreasedindperistalsis.
,Ad14-
weekdgestationaldclient,dwhodweighedd125dpoundsdbeforedpregnancy,dcomesdintodthedhealthdclinicdforda
dprenataldappointment.dThedclient'sdweightdtodaydisd129dpounds.dWhatdactiondshoulddthedpracticaldnur
sed(PN)dimplement?d-dDocumentdthedfindingdindthedmedicaldrecord.
Thedpracticaldnursed(PN)disdreviewingdthedinformationaldpacketsdwithdadclientdwhodisdatdriskdfordpreeclamp
sia.dWhichdinformationdisdmostdimportantdfordthedPNdreinforcedwithdthedclient?d-
dNotifydthedclinicdifdanydvisiondchangesdaredexperienced.
Adprimigravidadatd33-
weeksdgestationdisdadmitteddafterdbeingdinvolveddindadmotordvehicledcollisiond(MVC).dThedclientdhasdnodco
mplaintsdofdabdominaldpaindanddnodevidencedofdvaginaldbleeding.dWhichdactiondshoulddthedpracticaldnurs
ed(PN)danticipatedimplementingdfordthedclient?d-dObtaindadbiophysicaldprofile.
Adprimigravidadclientdasksdthedpracticaldnursed(PN).d"HowdwilldidknowdthatdIdwilldbedgoingdintodlabordsoon?
"dWhichdsigndshoulddthedPNdprovidedthatdisdadcommondsign?d-dBurstdofdenergy.
Adprimigravidadclientdwhodisdatd39-
weeksdgestationdarrivesdatdthedclinicdanddtellsdthedpracticaldnursed(PN)dshedisdhavingdcontractionsdeveryd
5dminutes.dThedhealthcaredproviderddeterminesdshedisddilatedd3dcmdanddindearlydlabor.dWhatdactiondsho
ulddthedpracticaldnursed(PN)dimplementdwhendthedclientdgroansdwithdeachdcontraction?d-
dDemonstratedsimpledrelaxationdmeasures.
Adprimiparousdclientdasksdthedpracticaldnursed(PN)dhowdmuchdherdnewborndbabydshoulddsleepdeverydday.d
WhatdinformationdshoulddthedPNdprovide?d-
dAdnewborndsleepsdmostdofdtheddaydanddgraduallydwilldhavedincreasingdperiodsdofdwakefulness.
Thedmotherdasksdthedpracticaldnursed(PN)dwhatdherdinfantdmaydneeddifdthedphenylketonuria(PKU)dtestdisdp
ositive.dWhatdtypedofdtreatmentdshoulddthedPNdtelldthedmotherdwilldbedrequired?d-
dLifelongddietarydmanagement.
Thedpracticaldnursed(PN)disddiscussingdaspectsdofdnewborndhygienedwithdthednewdparentsdasdtheydprepared
forddischarge.dWhichdinformationdshoulddthedPNdprovide?d-dCreatedaddraft-
freedenvironmentdwhendbathingdthedbaby.
, Admotherdwhodisdpreparingdforddischargedbeginsdaskingdthedpracticaldnursed(PN)dquestionsdaboutdbottle
dfeedingdherdinfant.dWhatdinformationdshoulddthedPNdreinforce?d-
dBurpdthednewborndperiodicallydduringdthedfeeding.
Andinfantdwhodweightd4550dgramsdisddelivereddusingdforceps-
assisteddvaginalddelivery.dWhatdactiondisdmostdimportantdfordthedpracticaldnursed(PN)dtodimplement?d-
dMonitordfordsignsdofdhypoglycemia.
Adyoungdadultdfemaledcomesdtodthedhealthdclinicdtodconfirmdadpositivedhomedpregnancydtest.dAfterddeter
miningdthedclient'sdlastdmenstrualdperiodd(LMP)dasdAugustd5,dwhatdexpectedddatedofdbirthd(EDB)dshoulddth
edpracticaldnursed(PN)dcalculate?d-dMayd12
Thedpracticaldnursed(PN)dquicklydmovesdthedcribdofdadmalednewborndanddnoticesdthatdhisdlegsdflex.darmsdf
andout,danddthendreturndtowarddhisdmidline.dWhatdactiondshoulddthedPNdimplement?d-
dDocumentdthednewbornddemonstratesdadMorodreflex.
Whichdfindingdfordad2-week-olddinfantdshoulddthedpracticaldnursed(PN)dreportdtodthedhealthcaredprovider?
-dYellowishdtingedarounddthedeyes.
Whichdinterventiondshoulddthedpracticaldnursed(PN)dprovidedadneonatedduringdhospitalization?d-
dOfferdthedneonatedadpacifierdbetweendfeedings.
Adfatherdexpressesdconcerndthatdhisd3-day-
olddinfantdlooksd"yellow."dWhichdinformationdshoulddthedpracticaldnursed(PN)dprovide?d-
dPhysiologicdjaundicedoccursdfromdadnormaldreductiondindreddblooddcells.
Thedpracticaldnursed(PN)disdmonitoringdadchilddwhodisdmanifestingdsignsdofdshockdafterdadmotordvehicledcoll
ision.dWhichdfindingdisdmostdimportantdfordthedPNdtodreportdtodthedchargednurse?
a) narrowingdpulsedpressure
b) apprehension
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eview, Hesi Peds, PN HESI Peds, Peds & Maternity HESI, HESI Mat
d d d d d d d d d d d
ernity/Pediatric Remediation
d
Afterdrepeatingdthedvitaldsignsdfordadnewborndwhodisd4dhoursdold,dthedpracticaldnursed(PN)dobtainsdandaxill
arydtemperaturedofd97.2dFdanddplacesdthednewborndunderdadradiantdheatdwarmer.dWhichdadditionaldfindi
ngdshoulddthedPNdobservedindthednewborn?d-dTremorsdofdthedhandsdduringdcrying.
Whichdinformationdshoulddthedpracticaldnursed(PN)dprovidedthedparentsdaboutdthedpurposedofdinstillingder
ythromycind(llotycin)dophthalmicdointmentdindthednewborn'sdeyes.d-
dProphylacticdtreatmentdfordgonorrhealdanddchlamydiadinfection.
Whatdisdthedmostdimportantdactiondbydthedpracticaldnursed(PN)dindpreventingdneonataldinfection?d-
dHanddwashing.
adclientdwhodtookdirondsupplementsdduringdpregnancyddeliversdanddinfantdbydcesareandsection.dOndthedse
conddpostpartumdday,dthedclientdreportsdhavingdadconstipateddstooldthatdisdgreenish-
blackdindcolor.dWhichdactiondshoulddthedpracticaldnursed(PN)dimplement?d-
dRecorddcolordanddconsistencydofdthedstool.
Adclientdisd5dweeksdpregnantdcalldthedclinicdtodreportdthatdherdhomedpregnancydtestdisdpositive.dShedasksd
whatdshedshoulddbedconcerneddaboutdduringdthedweeksdbeforedherdfirstdvisit.dWhichdsignsdanddsymptomsd
shoulddthedpracticaldnursed(PN)dtelldthedclientdtodreportdimmediatelydtodthedhealthcaredprovider?d(selectd
alldthatdapply)d-dA.dVaginaldbleeding
D.dMembranedrupture
E.dSeveredheadaches
Ad3-day-
olddnewborndwhodweighedd7dpounds,d8douncesdatdbirthdisdbreastdfeedingdanddnowdweighsd6dpounddandd1
5dounces.dWhichdactiondshoulddthedpracticaldnursedtake?d-dDocumentdthedweightdloss
,Whichdmedicationdisdprescribeddfordthedpreventiondofdophthalmiadneonatorum?d-dErythromycind(iilotycin)
Admultiparousdclient'sdmembranesdrupturedafterd8dhoursdofdlabor.dwhichdactiondshoulddthedpracticaldnurse
dimplementdatdthisdtime?d-dAssessdthedfetaldheartdrated(FHR)danddpattern.
Thedpracticaldnursed(PN)dpalpatesdfundaldheightdatdthedumbilicusdofdadmultiparousdclientdwhodhasdjustdgiv
endbirthdtodand8-
pounddboydwhenddarkdreddblooddcomesdfromdthedclient'sdvagina.dWhatdactiondisdmostdimportantdfordthed
PNdtodimplement?d-dContinuedtodmassagedthedfundusduntildfirm.
Whichdclientdshoulddthedpracticaldnursed(PN)dcloselydmonitordfordseveredafterdpains?d-
dAdmultigravidadwhodisdbreastfeeding.
Thedpracticaldnursed(PN)disdassessingdadclientd2dhoursdafterdadvaginalddeliverydofdad7-poundd3-
ouncednewborndandddeterminesdthedclient'sdbladderdisddistended.dWhichdadditionaldfindingdshoulddthedP
Ndreportdtodthedchargednurse?d-dExcessivedbleedingdondthedperinealdpad.
Thedpracticaldnursed(PN)dplacesdadnewborndwhodisd4dhoursdolddwithdandaxillarydtemperaturedofd97.2dFdund
erdthedradiantdheatdwarmer.dWhichdrationaledsupportsdthedPN'sdaction?d-
dThednewborn'sdthindlayerdofdsubcutaneousdfatdprovidesdpoordinsulation.
Whichdstrategydshoulddthedpracticaldnursed(PN)dimplementdtodpreventdadpuerperaldinfectiondfordadclientdd
uringdthedfirstdpostpartumdweek?d-dImplementdstrictdmedicaldanddasepticdtechnique.
Whichdclientdisdadcandidatedfordthedadministrationdofdhumandimmunedglobulind(RhoGam)dafterddelivery?d-
dThedRh-negativedmotherdwhoddeliversdadRh-positivedbaby.
Whichdphysiologicaldcause(s)dfordconstipationdduringdpregnancydshoulddthedpracticaldnursed(PN)dexplaindt
odadclientdindthedfirstdtrimester?d(Selectdalldthatdapply.)d-dA.dDisplacementdofdthedcolon.
E.dDecreasedindperistalsis.
,Ad14-
weekdgestationaldclient,dwhodweighedd125dpoundsdbeforedpregnancy,dcomesdintodthedhealthdclinicdforda
dprenataldappointment.dThedclient'sdweightdtodaydisd129dpounds.dWhatdactiondshoulddthedpracticaldnur
sed(PN)dimplement?d-dDocumentdthedfindingdindthedmedicaldrecord.
Thedpracticaldnursed(PN)disdreviewingdthedinformationaldpacketsdwithdadclientdwhodisdatdriskdfordpreeclamp
sia.dWhichdinformationdisdmostdimportantdfordthedPNdreinforcedwithdthedclient?d-
dNotifydthedclinicdifdanydvisiondchangesdaredexperienced.
Adprimigravidadatd33-
weeksdgestationdisdadmitteddafterdbeingdinvolveddindadmotordvehicledcollisiond(MVC).dThedclientdhasdnodco
mplaintsdofdabdominaldpaindanddnodevidencedofdvaginaldbleeding.dWhichdactiondshoulddthedpracticaldnurs
ed(PN)danticipatedimplementingdfordthedclient?d-dObtaindadbiophysicaldprofile.
Adprimigravidadclientdasksdthedpracticaldnursed(PN).d"HowdwilldidknowdthatdIdwilldbedgoingdintodlabordsoon?
"dWhichdsigndshoulddthedPNdprovidedthatdisdadcommondsign?d-dBurstdofdenergy.
Adprimigravidadclientdwhodisdatd39-
weeksdgestationdarrivesdatdthedclinicdanddtellsdthedpracticaldnursed(PN)dshedisdhavingdcontractionsdeveryd
5dminutes.dThedhealthcaredproviderddeterminesdshedisddilatedd3dcmdanddindearlydlabor.dWhatdactiondsho
ulddthedpracticaldnursed(PN)dimplementdwhendthedclientdgroansdwithdeachdcontraction?d-
dDemonstratedsimpledrelaxationdmeasures.
Adprimiparousdclientdasksdthedpracticaldnursed(PN)dhowdmuchdherdnewborndbabydshoulddsleepdeverydday.d
WhatdinformationdshoulddthedPNdprovide?d-
dAdnewborndsleepsdmostdofdtheddaydanddgraduallydwilldhavedincreasingdperiodsdofdwakefulness.
Thedmotherdasksdthedpracticaldnursed(PN)dwhatdherdinfantdmaydneeddifdthedphenylketonuria(PKU)dtestdisdp
ositive.dWhatdtypedofdtreatmentdshoulddthedPNdtelldthedmotherdwilldbedrequired?d-
dLifelongddietarydmanagement.
Thedpracticaldnursed(PN)disddiscussingdaspectsdofdnewborndhygienedwithdthednewdparentsdasdtheydprepared
forddischarge.dWhichdinformationdshoulddthedPNdprovide?d-dCreatedaddraft-
freedenvironmentdwhendbathingdthedbaby.
, Admotherdwhodisdpreparingdforddischargedbeginsdaskingdthedpracticaldnursed(PN)dquestionsdaboutdbottle
dfeedingdherdinfant.dWhatdinformationdshoulddthedPNdreinforce?d-
dBurpdthednewborndperiodicallydduringdthedfeeding.
Andinfantdwhodweightd4550dgramsdisddelivereddusingdforceps-
assisteddvaginalddelivery.dWhatdactiondisdmostdimportantdfordthedpracticaldnursed(PN)dtodimplement?d-
dMonitordfordsignsdofdhypoglycemia.
Adyoungdadultdfemaledcomesdtodthedhealthdclinicdtodconfirmdadpositivedhomedpregnancydtest.dAfterddeter
miningdthedclient'sdlastdmenstrualdperiodd(LMP)dasdAugustd5,dwhatdexpectedddatedofdbirthd(EDB)dshoulddth
edpracticaldnursed(PN)dcalculate?d-dMayd12
Thedpracticaldnursed(PN)dquicklydmovesdthedcribdofdadmalednewborndanddnoticesdthatdhisdlegsdflex.darmsdf
andout,danddthendreturndtowarddhisdmidline.dWhatdactiondshoulddthedPNdimplement?d-
dDocumentdthednewbornddemonstratesdadMorodreflex.
Whichdfindingdfordad2-week-olddinfantdshoulddthedpracticaldnursed(PN)dreportdtodthedhealthcaredprovider?
-dYellowishdtingedarounddthedeyes.
Whichdinterventiondshoulddthedpracticaldnursed(PN)dprovidedadneonatedduringdhospitalization?d-
dOfferdthedneonatedadpacifierdbetweendfeedings.
Adfatherdexpressesdconcerndthatdhisd3-day-
olddinfantdlooksd"yellow."dWhichdinformationdshoulddthedpracticaldnursed(PN)dprovide?d-
dPhysiologicdjaundicedoccursdfromdadnormaldreductiondindreddblooddcells.
Thedpracticaldnursed(PN)disdmonitoringdadchilddwhodisdmanifestingdsignsdofdshockdafterdadmotordvehicledcoll
ision.dWhichdfindingdisdmostdimportantdfordthedPNdtodreportdtodthedchargednurse?
a) narrowingdpulsedpressure
b) apprehension
